Healthcare Provider Details

I. General information

NPI: 1831273838
Provider Name (Legal Business Name): CLINICA PSIQUIATRICA DE INTEGRACION BIOPSICOSOCIAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/25/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

312 AVE DE DIEGO TORRE MUSEO SUITE 301
SANTURCE PR
00909-1756
US

IV. Provider business mailing address

CALLE MEXICO #385 ROLLING HILLS
CAROLINA PR
00987
US

V. Phone/Fax

Practice location:
  • Phone: 787-217-1337
  • Fax:
Mailing address:
  • Phone: 787-466-8754
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number7996
License Number StatePR
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number14464
License Number StatePR

VIII. Authorized Official

Name: DR. REYNALDO J. PEREZ ALVARADO
Title or Position: PSYCHIATRY
Credential: M.D.
Phone: 787-466-8754